Yaşlı Nüfus ile Sağlık Harcamaları Arasındaki İlişkinin İncelenmesi: Panel Veriye Dayalı Bir Uygulama

Year 2021, Issue: 26, 314 - 324, 30.04.2021

Murat Konca Pınar Yalçın Balçık İsmail Biçer -

Abstract

Yaşlanan nüfus ve sağlık harcamaları arasındaki ilişki, son dönemlerde çok sık tartışılır bir konu haline gelmiştir. Bu sebeple bu çalışmada sağlık harcamaları ve yaşlı nüfus oranı arasındaki ilişkisi araştırılmıştır. Çalışma kapsamında verisine ulaşılabilen 36 Avrupa ülkesine ait 2000-2014 yılları arası kişi başına düşen sağlık harcaması ve yaşlı nüfus oranı verileri analize dâhil edilmiştir. Çalışmanın amacı kapsamında panel en küçük kareler regresyonundan faydalanılmıştır. Araştırmanın sonucunda kişi başı sağlık harcaması ile yaşlı nüfus oranının karşılıklı olarak birbirlerini etkiledikleri ortaya konmuştur. Yaşlı nüfus oranının artması sağlık harcamalarını artırabileceği gibi sağlık hizmetlerinden daha fazla faydalanmak, yani sağlık harcamalarının artması, doğumda beklenen yaşama süresini, dolayısıyla yaşlı nüfus oranını artırabilmektedir.

Keywords

Yaşlı nüfus, sağlık harcamaları, panel veri

Investigation of The Relationship Between Elderly Population and Health Expenditure: An Application Based on Panel Data

Abstract

The relationship between elderly population and health expenditure has recently become a hot topic. Therefore in this study, the relationship between per capita health expenditure and proportion of elderly population was investigated. The data of the study consisted of 36 European countries’ data between 2000 and 2014. Panel ordinary least squares was used for the purpose of the study. As a result of the study, it was found out that health expenditure per capita and elderly population ratio mutually affected each other. The increase in the elderly population raito may increase health expenditure per capita and taking more advantage of health care services as a result of more health expenditure may also increase the elderly population raito due to the increases in life expectancy at birth.

Keywords

Elderly population, health expenditure, panel data

References

• Aísa, R., Clemente, J. ve Pueyo, F. (2014). The Influence of (Public) Health Expenditure on Longevity, International Journal of Public Health, 59(5), 867-875.
• Barros, P.P. (1998). The Black Box Of Health Care Expenditure Growth Determinants, Health Economics, 7(6), 533-544.
• Beard, J.R., Officer, A., de Carvalho, I.A., Sadana, R., Pot, A.M., Michel, J.P., ... ve Thiyagarajan, J.A. (2016). The World Report on Ageing and Health: A Policy Framework for Healthy Ageing. The Lancet, 387(10033), 2145-2154.
• Bech, M., Christiansen, T., Khoman, E., Lauridsen, J. ve Weale, M. (2011). Ageing and Health Care Expenditure in EU-15. The European Journal of Health Economics, 12(5), 469-478.
• Breyer, F., Costa-Font, J. ve Felder, S. (2010). Ageing, Health, and Health Care. Oxford Review of Economic Policy, 26(4), 674–690.
• Breyer, F., Lorenz, N. ve Niebel, T. (2015). Health Care Expenditures and Longevity: Is There a Eubie Blake Effect? The European Journal of Health Economics, 16(1), 95-112.
• Cattaneo, M.A. ve Wolter, S.C. (2009). Are the Elderly a Threat to Educational Expenditures? European Journal of Political Economy, 25(2), 225-236.
• Coory, M.D. (2004). Ageing and Healthcare Costs in Australia: A Case of Policy‐ Based Evidence? Medical Journal of Australia, 180(11), 581-583.
• Dormont, B., Grignon, M. ve Huber, H. (2006). Health Expenditure Growth: Reassessing the Threat of Ageing, Health Economics, 15(9), 947-963.
• Erol, M.T. (2012). Avrupa Birliği’nde Nüfusun Yaşlanması ve Sağlık Harcamalarına Etkisi, Sosyal Güvence, 1(1), 54-81.
• Eurostat (2019). ec.europa.eu/eurostat/ Erişim Tarihi: 02.02.2020
• Felder, S., Meier, M. ve Schmitt, H. (2000). Health Care Expenditure in the Last Months of Life, Journal of Health Economics, 19(5), 679-695.
• Getzen, T.E. (1992). Population Aging and the Growth of Health Expenditures. Journal of Gerontology, 47(3), 98-104.
• Iliman, T. ve Tekeli, R. (2017). Yaşlılık ve Sağlık Harcamaları Arasındaki İlişki: Literatür Taraması, Adnan Menderes Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 4(4), 277-291.
• Im, K. S., Pesaran, M. H. ve Shin, Y. (2003). Testing for Unit Roots in Heterogeneous Panels, Journal of Econometrics, 115(1), 53-74.
• Levin, A., Lin, C. F. ve Chu, C. S. J. (2002). Unit Root Tests in Panel Data: Asymptotic and Finite-Sample Properties, Journal of Econometrics, 108(1), 1-24.
• Lopreite, M. ve Mauro, M. (2017). The Effects of Population Ageing on Health Care Expenditure: A Bayesian VAR Analysis Using Data from Italy, Health Policy, 121(6), 663-674.
• Mullan, P. (2000). The Imaginary Time Bomb. Why an Ageing Population is not a Social Problem, London: I.B Tauris & Co.
• O'Connell, J.M. (1996). The Relationship between Health Expenditures and the Age Structure of the Population in OECD Countries, Health Economics, 5(6), 573- 578.
• OECD (2019). www.oecd.org Erişim Tarihi: 12.02.2020
• Seshamani, M. ve Gray, A. A. (2004). Longitudinal Study of the Effects of Age and Time to Death on Hospital Costs, Journal of Health Economics, 23(2), 217- 235.
• Stearns, S.C. ve Norton, E.C. (2004). Time to Include Time to Death? The Future of Health Care Expenditure Predictions, Health Economics, 13(4), 315-327.
• Vandersteegen, T., Marneffe, W., Cleemput, I. ve Vereeck, L. (2015). The Impact of No-Fault Compensation on Health Care Expenditures: An Empirical Study of OECD Countries, Health Policy, 119(3), 367-374.
• WB (2019). https://data.worldbank.org Erişim Tarihi: 05.02.2020
• Werblow, A., Felder, S. ve Zweifel, P. (2007). Population Ageing and Health Care Expenditure: A School of ‘Red Herrings’? Health Economics, 16(10), 1109- 1126.
• WHO. (2015). Global Technical Strategy for Malaria 2016-2030. Geneva: WHO.
• World Health Organization (WHO). (2016). Multisectoral Action for a Life Course Approach to Healthy Ageing: Draft Global Strategy and Plan of Action on Ageing and Health, Geneva; WHO.
• Yang, Z., Norton, E.C. ve Stearns, S.C. (2003). Longevity and Health Care Expenditures: The Real Reasons Older People Spend More, The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58(1), 2- 10.
• Zweifel, P., Felder, S. ve Meiers, M. (1999). Ageing of Population and Health Care Expenditure: A Red Herring? Health Economics, 8(6), 485-496.